Taking Stock

As many of us are taking stock of the last 14 months and looking to brighter days ahead, the team at the Mac Unit are looking to the next few months and making tentative plans around events and activities with a real hope in our hearts that we will be able to see all of you again soon.

It’s been such a difficult time and many are understandably concerned about returning to social contact and larger groups. We would be so interested to hear from you, our valued supporters, about how you feel and if you are keen to start taking part in events again or continue with virtual challenges and activities for now. There will be an opportunity to answer some questions around this soon but if you would like to express how you feel, please drop us an email. We can’t wait to see all your faces again but we want to make sure that you are ready to see all of us too!

Lots of you are out there doing amazing things already to raise awareness and funds for the Mac Unit and we are so grateful. Our long term supporters, The Diamond Divas, are unable to perform their usual concerts at the moment but that didn’t stop them getting out in the sunshine together over the May Bank Holiday weekend and raising £445.00 for us through a plant sale. All the Diva’s are eager to get back to what they do best but wanted to get together now whilst they can and share a bit of joy with passers-by. Paul Kennedy-Magee raised a fantastic £2,255 through his 12-hour non-stop walkathon. Hannah Jones walked from Corfe to Southbourne with her family and raised £945. Steph Palmer has signed up to do a wing walk in a few weeks and has already raised £1,500…. do you fancy an exhilarating wing walk yourself?? There are lots of other wonderful challenges taking place in the coming weeks including a golf day, a cycling challenge, a sky dive and the 3 Peaks challenge – we are really looking forward to hearing about how all of you get on and thank you so much for your support! Don’t forget to send us some photos!

Please do keep an eye on our social media pages where you will read about any events and activities that you may want to get involved with as well as keeping you informed about our plans for the future and any developments with the new build. As ever, your commitment to supporting the Mac Unit is humbling and we cannot thank you enough.

Until next time….

 

Anyone that wishes to make a donation can do so on our website at www.macmillanlocal.org/make-a-donation and if you haven’t already signed up to our newsletter, you can do so at www.macmillanlocal.org/subscribe. You can also read our appeal for support through the Coronavirus at www.macmillanlocal.org/wp-content/uploads/2020/03/Covid-appeal-260320.pdf

List of pharmacies 

 Pharmacy name and address

Phone Number

100 hour pharmacy

 Locality

Asda Pharmacy

St Pauls Road, Bournemouth,BH8 8DL

01202 298900

Yes

Bournemouth East

Castle Lane Pharmacy
482 Castle Lane West Bournemouth, BH8 9UD

01202 772110

Yes

Bournemouth West

Ferndown Pharmacy
487 Ringwood Road, Ferndown, BH22 9AG

01202 892666

Yes

East Dorset

Tesco Extra Pharmacy
Yarrow Road, Mannings Heath Poole, BH12 4NX

01202 457447 or 01202 367447

Yes

Parkstone

Asda Pharmacy
West Quay Road, Poole, BH15 1JQ

01202 207000

Yes

Poole Central

Equipment – www.redcross.org.uk Is useful for wheelchairs and other equipment

Guide for people nearing end stage of life : https://intranet.rbch.nhs.uk/uploads/palliative/documents/What-to-Expect.pdf

Brief Drugs List for GPs

 

Pain/breathlessness:

Morphine sulphate 2.5-5mg SC PRN (10mg in 1ml injection)

(alternative if taking PO or eGFR<30 – Oxycodone 1 – 2.5mg SC PRN (10mg in 1ml injection))

[Please take background opioid into account when prescribing doses for anticipatories]

Anxiety/distress:

Midazolam 2.5-5mg SC PRN (10mg in 2ml injection)

Secretions:

Glycopyrronium 200mcg SC PRN (600mcg in 3ml injection)

(alternative for secretions: Hyoscine Butylbromide 20mg/ml injection)

Nausea :

Levomepromazine 6.25mg SC PRN (25mg in 1ml injection)

(alternative for nausea: Haloperidol 1.5mg SC PRN (5mg in 1ml injection)

Water for injection

Dexamethasone 3.3mg SC OD-BD (equivalent to 4mg PO) if risk of steroid withdrawal/Addisons during terminal phase.

Day/Time Example Timetable
Monday - AM

9am MMU Ward Hand over; 9:30am Tour of MMU

10m Consultant Ward Round, MMU

Monday - PM

12pm Ward Nurses - syringe driver administration (treatment room)

1:30 Nursing Handover – MMU (ward office)

MMU – Admission Assessment(s) with ward doctor

Tuesday - AM

9am Ward Hand over

9:20am Referrals Meeting on MMU

10am Community visiting with Specialist Nurse

Tuesday - PM

12:30 Journal Club – MMU (doctors office)

2pm Introduction to Patient and Family Support Team

3pm Introduction to Welfare and benefits Advisor

Wednesday - AM

9am Ward Hand over

9:20am Referrals Meeting on MMU

10am Consultant ward round - MMU

Wednesday - PM

2pm Doctor/Nurse Home Visit with Specialty Doctor

Thursday - AM

9:15am Multi-Disciplinary Team Meeting on MMU

Thursday - PM

2pm Introduction to Palliative Rehabilitation with Physiotherapist

3pm Introduction to Complex Discharge Planning in terminal illness

Friday - AM

Hospital Palliative Care Team Ward Visits

Friday - PM

2pm Introduction to Personalised Care Plan for the Last Days of Life with End of Life Care Nurse

4pm Debrief / sign off